- Ascension Health (Nashville, TN)
- …small teams and multiple technical platforms. + Determine and map existing business processes/functions and recommend changes to align to integrated systems. + ... charge capture activities including CDM maintenance and workflows to clinical departments + Review and reconcile charges from ...who have applied for a position using our official application . Be on alert for possible fraudulent offers of… more
- University of Washington (Seattle, WA)
- …the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, ... and has a unique role in the organization that supports both clinical and operational activities. PRIMARY JOB RESPONSIBILITIES Serve as an organization resource… more
- CVS Health (Hartford, CT)
- …regarding controls for preventing or monitoring fraud related issues within the business units - Delivers educational programs designed to promote deterrence and ... allegations of fraud, waste, and abuse - Researches and prepares cases for clinical and legal review - Documents all appropriate case activity in tracking system… more
- Evolent (Helena, MT)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **Who You'll Be Working… more
- UCLA Health (Los Angeles, CA)
- …team. + Create new charge records as needed for new CareConnect applications . Participate in developing testing scenarios. Validate testing procedures to ensure that ... + CCS, CPC-O, CPC certification or related coding education + Bachelor's degree in business , finance, or related field, preferred + Eight or more years of experience… more
- CVS Health (Hartford, CT)
- …**This position will support East Coast hours, starting at 9:00 AM** Aetna Clinical Enablement (ACE) has an exciting opportunity for an Informatics Manager to join ... stakeholders to generate member detail files, rate templates and understand their business needs. **The most successful candidates will display these traits:** +… more
- Envista Holdings Corporation (Quakertown, PA)
- …It will include troubleshooting equipment by phone and with service technicians and solving application problems with the end user that may or may not be comfortable ... relevant education and certifications; depth of experience; performance; and other business and organizational needs. The disclosed reasonable estimate has not been… more
- CVS Health (Blue Bell, PA)
- …specialty programs. Connect with the budgeting and forecasting process for the Aetna Clinical Solutions. + Provide holistic, end to end view and insights and ... including program ROIs. + Participate in development and/or collaboration with key business partners on additional analytical tools and dashboards to provide early… more
- CVS Health (Albany, NY)
- …by insured's, providers, claimants and customers. + Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
- CVS Health (Harrisburg, PA)
- …committed by insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case ... Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and… more